Paternal Influences on Adolescent Sexual Risk Behaviors: A Structured Literature Review

Silver School of Social Work, and.
PEDIATRICS (Impact Factor: 5.47). 10/2012; 130(5). DOI: 10.1542/peds.2011-2066
Source: PubMed

ABSTRACT Background and objective:
To date, most parent-based research has neglected the role of fathers in shaping adolescent sexual behavior and has focused on mothers. The objective of this study was to conduct a structured review to assess the role of paternal influence on adolescent sexual behavior and to assess the methodological quality of the paternal influence literature related to adolescent sexual behavior.

We searched electronic databases: PubMed, PsychINFO, Social Services Abstracts, Family Studies Abstracts, Sociological Abstracts, and the Cumulative Index to Nursing and Allied Health Literature. Studies published between 1980 and 2011 that targeted adolescents 11 to 18 years and focused on paternal parenting processes were included. Methodological quality was assessed by using an 11-item scoring system.

Thirteen articles were identified and reviewed. Findings suggest paternal factors are independently associated with adolescent sexual behavior relative to maternal factors. The most commonly studied paternal influence was emotional qualities of the father-adolescent relationship. Paternal communication about sex was most consistently associated with adolescent sexual behavior, whereas paternal attitudes about sex was least associated. Methodological limitations include a tendency to rely on cross-sectional design, nonprobability sampling methods, and focus on sexual debut versus broader sexual behavior.

Existing research preliminarily suggests fathers influence the sexual behavior of their adolescent children; however, more rigorous research examining diverse facets of paternal influence on adolescent sexual behavior is needed. We provide recommendations for primary care providers and public health practitioners to better incorporate fathers into interventions designed to reduce adolescent sexual risk behavior.

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    • "This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. and meta-analyses related to sexual communication (Allen et al., 2002; Bastien, Kajula, & Muhwezi, 2011; Casey, Timmermann, Allen, Krahn, & Turkiewicz, 2009; Commendador, 2010; DiIorio, Pluhar, & Belcher, 2003; East, Jackson, O'Brien, & Peters, 2007; Guilamo-Ramos et al., 2012; Jaccard, Dodge, & Dittus, 2002; Kotchick, Shaffer, & Forehand, 2001; Miller, Benson, & Galbraith , 2001; Noar, Carlyle, & Cole, 2006; Sheeran et al., 1999). This search produced an initial 4,611 scientific articles. "
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    ABSTRACT: Objective: Condom use is critical for the health of sexually active adolescents, and yet many adolescents fail to use condoms consistently. One interpersonal factor that may be key to condom use is sexual communication between sexual partners; however, the association between communication and condom use has varied considerably in prior studies of youth. The purpose of this meta-analysis was to synthesize the growing body of research linking adolescents' sexual communication to condom use, and to examine several moderators of this association. Method: A total of 41 independent effect sizes from 34 studies with 15,046 adolescent participants (M(age) = 16.8, age range = 12-23) were meta-analyzed. Results: Results revealed a weighted mean effect size of the sexual communication-condom use relationship of r = .24, which was statistically heterogeneous (Q = 618.86, p < .001, I² = 93.54). Effect sizes did not differ significantly by gender, age, recruitment setting, country of study, or condom measurement timeframe; however, communication topic and communication format were statistically significant moderators (p < .001). Larger effect sizes were found for communication about condom use (r = .34) than communication about sexual history (r = .15) or general safer sex topics (r = .14). Effect sizes were also larger for communication behavior formats (r = .27) and self-efficacy formats (r = .28), than for fear/concern (r = .18), future intention (r = .15), or communication comfort (r = -.15) formats. Conclusions: Results highlight the urgency of emphasizing communication skills, particularly about condom use, in HIV/STI prevention work for youth. Implications for the future study of sexual communication are discussed.
    Health Psychology 08/2014; 33(10). DOI:10.1037/hea0000112 · 3.59 Impact Factor
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    • "Young women gradually become more independent from families of origin as they grow up, but parents’ previous and current involvement may still have an influential effect on their daughters’ decision making. Many early studies suggest that the relationship of parents and children and parenting style are related to adolescents or young adult's sexual behavior and contraceptive use.[1112] Parenting style in early childhood is related with young adults’ sexual health behavior, for example, neglectful parenting may affect on young women's sexual risk behavior in young adulthood.[13] "
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    North American Journal of Medical Sciences 07/2014; 6(7):309-14. DOI:10.4103/1947-2714.136905
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    ABSTRACT: Young black men who have sex with men (YBMSM) are experiencing high and rising rates of HIV infection, more than any other age-risk group category in the USA. Contributors to HIV risk in this group remain incompletely elucidated. We conducted exploratory qualitative interviews with 20 HIV-positive YBMSM aged 17-24 and found that father-son relationships were perceived to be important sociocontextual influences in participants' lives. Participants discussed the degree of their fathers' involvement in their lives, emotional qualities of the father-son relationship, communication about sex, and masculine socialization. Participants also described pathways linking father-son relationships to HIV risk, which were mediated by psychological and situational risk scenarios. Our thematic analysis suggests that father-son relationships are important to the psychosocial development of YBMSM, with the potential to either exacerbate or attenuate sexual risk for HIV. Interventions designed to strengthen father-son relationships may provide a promising direction for future health promotion efforts in this population.
    Journal of Urban Health 02/2014; 91(4). DOI:10.1007/s11524-013-9864-1 · 1.90 Impact Factor
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